儿童主动脉瓣病变外科治疗中国专家共识  

Chinese expert consensus on surgical treatment of aortic valve disease in children

作　　者：张浩[1] 杨克明 陈欣欣 董念国[4] 李守军 国家心血管病专家委员会先天性心脏病专业委员会 ZHANG Hao;YANG Keming;CHEN Xinxin;DONG Nianguo;LI Shoujun;National Society of Congenital Heart Diseases(Department of Cardiothoracic Surgery,Shanghai Children's Medical Center,School of Medicine,Shanghai Jiao Tong University,Shanghai,200000,P.R.China;Department of Pediatric Cardiac Surgery,Fuwai Hospital,Chinese Academy of Medical Sciences,Beijing,100037,P.R.China;Heart Center,Guangzhou Women and Children's Medical Center,Guangzhou,511400,P.R.China;Department of Cardiovascular Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430021,P.R.China;不详)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心心胸外科,上海200000 [2]中国医学科学院阜外医院小儿外科中心,北京100037 [3]广州市妇女儿童医疗中心心脏中心,广州511400 [4]华中科技大学同济医学院附属协和医院心脏大血管外科,武汉430021 [5]不详

出　　处：《中国胸心血管外科临床杂志》2024年第11期1560-1566,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：本共识由国家心血管病专家委员会先天性心脏病专业委员会专家撰写,采用Delphi程序,通过文献回顾和专家讨论,最终形成7条推荐意见。其详细阐述儿童主动脉瓣疾病的病理解剖、病理生理、临床表现、诊断方法及外科治疗方法;强调儿童主动脉瓣疾病治疗需考虑生长发育需求;推荐不同年龄段和病变类型的手术策略,包括瓣膜成形、Ross手术、瓣膜置换及球囊扩张等;特别指出新生儿与婴儿期推荐主动脉瓣成形术,而大龄儿童手术方式选择更多元化。本共识仅讨论单纯主动脉瓣病变,不包括合并有其他心脏畸形的情况。The consensus was authored by National Society of Congenital Heart Diseases.After employing the Delphi process and incorporating literature reviews and expert discussions,seven recommendations were ultimately formulated.The consensus provides a detailed elaboration on the pathoanatomy,pathophysiology,clinical manifestations,diagnostic methods,and surgical treatment approaches for aortic valve diseases in children.It emphasizes that the treatment of aortic valve diseases in children should take into account the needs of growth and development,and recommends surgical strategies for different age groups and types of lesions,including valve plasty,Ross procedure,valve replacement,and balloon dilation.Specifically,aortic valve plasty is recommended for neonates and infants,while surgical options for older children are more diversified.The consensus only discusses isolated aortic valve disease and does not cover cases complicated with other heart malformations.

关 键 词：先天性心脏病 儿童主动脉瓣病变 专家共识 

分 类 号：R726.5[医药卫生—儿科]